Dr. Vijaya Shah

Pediatrician, Mumbai

Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

More about Dr. Vijaya Shah

Dr. Vijaya Shah is an experienced Pediatrician in Andheri East, Mumbai. You can meet Dr. Vijaya Shah personally at Anushka Polyclinic in Andheri East, Mumbai. Book an appointment online with Dr. Vijaya Shah and consult privately on Lybrate.com.

Find numerous Pediatricians in India from the comfort of your home on Lybrate.com. You will find Pediatricians with more than 32 years of experience on Lybrate.com. You can find Pediatricians online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

A temperature reading isn't the only indication of whether a fever is serious.
Age is a factor: Fever is more serious in babies under 3 months.
Behavior is another factor: A high fever that doesn't stop your baby from playing and feeding normally may not be cause for alarm.
Keep in mind that everyone's temperature rises in the late afternoon and early evening and falls between midnight and early morning. This natural cycle of our internal thermostat explains why doctors get most of their phone calls about fever in the late afternoon and early evening.
So yu have to treat the cause of fever and and not the temperature .if the baby is active and playful the temperature is not an indication ofr giving paracetamol and is harmful .It need to be given only if there is infection and a doctor can decide it after seeing the baby.

Hello. Good evening. It is better not to use any powder to the body. Initial treatment consists of use of emollients (cold creams). Better not to keep the body dry. If this does not help then further treatment measures become necessary.

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care:&amp;nbsp;

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap.&amp;nbsp;

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

Most parents believe that the breast milk is insuffiecient. Take weight of the child on a digital weighing machine prior to feeding and immediately after feed. This will convince you that child has got enough milk. .
However if the milk is truly less, you can start undiluted, unsweetened boiled cow's milk with katori and spoon.

Behavior of a child should always be closely monitored during his/her early development. Sometimes signs of several personality disorders tend to show up early in life. Proper monitoring of the child's behavior helps to identify the signs and properly diagnose the condition if the child is suffering from any potential personality disorder.

Here are a few facts you should keep in mind:

You might often find it difficult to differentiate between the normal and abnormal behavior of your child. You might consult the pediatrician in this case to compare the child's general behavioral patterns with that of other children in the same age group.

It is very important to understand your child's development process. It helps you to interpret his/her behavior and to identify signs of personality disorder.

There are a few common behavior patterns, which tend to act as a guide to understanding the behavior of your child. Some of these patterns should be encouraged as they lead to proper behavioral development of your child while patterns of negative behavior should be discouraged.

You should also consult a doctor if your child shows negative behavior persistently even after disciplining measures.

Being polite, doing chores on a regular basis, following instructions should be encouraged and rewarded as it helps in the proper personality development of your child.

Behavioral patterns like an inclination towards defensive, regressive and aggressive behavior should not be encouraged but can be tolerated in certain situations like illness or in times of stress.

Behavioral patterns like an increased inclination to violence or an excessive competitive attitude towards their siblings should never be allowed.

Prejudice or racism, stealing or inclination towards substance abuse, angry outbursts point towards problems in the child's mental, physical or social well-being. You are also advised to take your child to a psychological expert to find out whether he/she is suffering from any sort of behavioral disorder.

Your behavior also plays a major role in development of your child and his/her behavioral patterns. It is often seen that if a child is subjected to excessive physical, mental or emotional abuse or is engaged in too many curricular and extracurricular activities, he/she is likely to develop several behavioral disorders over time.